| NPI | 1124390133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA TURINO Owner 786-231-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL HCC9646) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2024-07-16 |